nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2020-9-1-140-147nmp-914Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL OBSERVATIONSУспешное хирургическое лечение постинфарктного разрыва миокарда левого желудочкаSuccessful Surgical Treatment of Postinfarction Rupture of Left Ventricular Myocardiumhttps://orcid.org/0000-0003-4145-1337МазановМ. Х.MazanovM. K.

Мазанов Мурат Хамидбиевич, кандидат медицинских наук, и.о. заведующего

Murat Kh. Mazanov, Candidate of Medical Sciences, acting Head

mazan@bk.ruhttps://orcid.org/0000-0002-2249-8925ХаритоноваН. И.KharitonovaN. I.

кандидат медицинских наук, старший научный сотрудник

Candidate of Medical Sciences, Senior Researcher

vnis@yandex.ruhttps://orcid.org/0000-0002-0760-0995БарановА. А.BaranovA. A.

младший научный сотрудник

Junior Researcher

baranovaa@sklif.mos.ruhttps://orcid.org/0000-0003-3283-0562КамбаровС. Ю.KambarovS. Yu.

доктор медицинских наук, заведующий отделом неотложной кардиологии и сердечно-сосудистой хирургии

Doctor of Medical Sciences, Head of the Department of Emergency Cardiology and Vascular Surgery

kambarovsu@sklif.mos.ruhttps://orcid.org/0000-0002-3037-3292БикбоваН. М.BikbovaN. M.

младший научный сотрудник

Junior Researcher

https://orcid.org/0000-0002-9692-0703ИвановМ. Г.IvanovM. G.

младший научный сотрудник

Junior Researcher

Mikhail_ivanov@mail.ruhttps://orcid.org/0000-0002-2953-9179АрутюнянА. Г.HarutunyanA. G.

младший научный сотрудник

Junior Researcher

arzo1992@mail.ruОтделение неотложной коронарной хирургии, ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияDepartment of Emergency Coronary Surgery, N.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health DepartmentRussian FederationГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияN.V. Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health DepartmentRussian Federation20201910202091140147Copyright © Мазанов М.Х., Харитонова Н.И., Баранов А.А., Камбаров С.Ю., Бикбова Н.М., Иванов М.Г., Арутюнян А.Г., 20202020Мазанов М.Х., Харитонова Н.И., Баранов А.А., Камбаров С.Ю., Бикбова Н.М., Иванов М.Г., Арутюнян А.Г.Mazanov M.K., Kharitonova N.I., Baranov A.A., Kambarov S.Y., Bikbova N.M., Ivanov M.G., Harutunyan A.G.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/914

РЕЗЮМЕ. Разрыв свободной стенки левого желудочка (ЛЖ) является одним из наиболее опасных осложнений инфаркта миокарда. Благодаря широкому распространению и доступности метода эхо-кардиографии, увеличилось число диагностированных случаев прижизненного выявления этого фатального осложнения и количество спасенных жизней после хирургической коррекции. Выживание больных зависит от ранней диагностики, стабилизации состояния больного, оперативности и тактики хирургического вмешательства. Мы приводим случай успешного ушивания разрыва свободной стенки ЛЖ на 15-е сутки от острого инфаркта миокарда.

ABSTRACT. The rupture of the left ventricle free wall is one of the most dangerous complications of myocardial infarction. Due to the widespread availability of echocardiography method, the detection of this fatal complication and the number of lives saved after surgery grew. The survival of patients depends on early diagnosis, stabilization of the patient’s condition, promptness and tactics of surgical intervention. We report a case of successful closure of a rupture of the left ventricle free wall on the 15th day after myocardial infarction.

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The authors declare that there are no conflicts of interest present.